Brow Henna Consent Form

Full Name *

First

Last

NRIC ( Last 4 digits )

Phone Number

I am Aware & Agree To The Following

I understand that Henna may last from 3 days to 2 week , depending on skin type but up to 4 weeks on brow hair.
I understand that wetting or touching the treated area excessively will result in poor color retention and decrease the longevity of Henna
I understand that the product used is Vegan , Halal , Low PPD , free from Ammonia & Hydrogen Peroxide , however there is still a small risk that I may be allergic to Henna .
I understand that I cannot use any abrasive products such as skin care products that exfoliate or rough towels on the treated area. Oil based products should be avoided as it could affect color retention.
I understand that Henna retains differently on various types of skin (oily skin, dry skin etc.) and that the results or outcome cannot be guaranteed
I Hereby certify that i am above 21 years of age to have this service performed on me and if i am below 21 years , i hereby declare that i have already seeked parental consent and approval

PLEASE ACKNOWLEDGE *

I understand that I have the option to receive a patch test at least 24 hours prior to the treatment. If I waive the right to such test, I will be fully responsible for any consequences of any allergy that may occur associated with the application of Henna

PLEASE ACKNOWLEDGE *

I understand not to make a claim against the therapist and the salon and do hereby indemnify and hold the said business, its Owner and Employees harmless in the respect of any claim or damage suffered by me in the consequence of using the Henna treatment.

Message